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General NPI Number Information
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NPI Number | 1033565643
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Entity Type | Organization
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Legal Business Name | JAMES-OLIVEREYECARE,LLC
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Dates
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Enumeration Date | 05/12/2016
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Last Update Date | 06/07/2016
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Provider Practice Location Address
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Address Line | 46 N CONGRESS ST
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City | YORK
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State | SC
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Zip | 29745-1529
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Country | US
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Telephone | 803-628-5477
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Fax | 803-628-5474
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Provider Business Mailing Address
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Address Line | 46 N CONGRESS ST
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City | YORK
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State | SC
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Zip | 29745-1529
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Country | US
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Telephone | 803-628-5477
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Fax | 803-628-5474
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALEQUE STEGALL JAMES
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Credential | OD
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Telephone | 803-628-5477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1477
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License Number State | SC
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